Question

My three-year-old son has been consistently experiencing blood in his urine for one and a half years. He is very lively, without any pain or itching, and has had four checks, all showing blood. The doctor has prescribed some medication, but there is still blood. What might be the cause of this, is it important, and how should we further examine it?

Answer

In addition to hematuria, has there been any other changes in your child’s urine test, such as protein or white blood cells? Your child’s symptoms are similar to a condition known as “nocturnal enuresis.” The first step should be to take your child to the hospital for an examination of the external genitalia to check for any developmental issues, such as phimosis or tight foreskin. These issues may lead to the accumulation of urinary debris, causing symptoms such as frequent urination or bedwetting. Depending on the specific situation, targeted medication treatment is required. At the same time, your child should avoid eating spicy and irritative foods and drink plenty of water.